DR. CONSTANTINE SIMOS DMD NPI 1205809282

NPI Information

NPI: 1205809282
Provider Name: DR. CONSTANTINE SIMOS, DMD
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Individual
Address: 109 LIVINGSTON AVE
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 247-8083

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NPI Details

DR. Constantine Simos, DMD is an oral and maxillofacial surgery dentist in New Brunswick, NJ. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Constantine Simos, DMD NPI is 1205809282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

109 LIVINGSTON AVE
NEW BRUNSWICK, NJ
ZIP 08901-410
Phone: (732) 247-8083
Fax: (732) 247-1584

The enumeration date for this NPI number is 2/9/2006 and was last updated on 9/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	047853	NEW YORK	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DI 21508	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051929 ATR	MEDICARE ID-TYPE UNSPECIFIED	NEW JERSEY
2	U-80389	MEDICARE UPIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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